Kyle L. Wagamon, MD

Dermatopathology Physician · Warren, OH

Individual Active NPI

NPI number 1780758003

Practice location

1745 Niles Cortland Rd NE Ste 5
Warren, OH 44484-6046
Phone
(330) 856-6365
Fax
(330) 474-3981

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NPI record

NPI
1780758003
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
March 27, 2026
Certified
March 27, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatopathology Physician Primary 207ND0900X 35083746 OH
Dermatology Physician 207N00000X 35083746 OH

Mailing address

19301 Cyclone Dr
Cleveland, OH 44135-1731
Phone
(330) 393-4000
Fax
(330) 392-5870

Other practice locations (1)

  • 2660 E Market St, Warren, OH 44483-6204 · (330) 393-4000

About Dr. Wagamon

Kyle L. Wagamon, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatopathology Physician (code 207ND0900X). The practice location is 1745 Niles Cortland Rd NE Ste 5, Warren, OH 44484-6046. The NPI number 1780758003 was assigned on November 20, 2006 and the record was last updated on March 27, 2026.

Dr. Wagamon lists 2 licenses in the registry: #35083746 (OH) for Dermatopathology Physician; #35083746 (OH) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle L. Wagamon, MD?

The NPI number is 1780758003.

What is the phone number of Dr. Wagamon?

The phone number listed for the practice location is (330) 856-6365.

Where is Dr. Wagamon located?

1745 Niles Cortland Rd NE Ste 5, Warren, OH 44484-6046.

What is the taxonomy code for Dr. Wagamon?

The primary taxonomy code is 207ND0900X – Dermatopathology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.